| Doctor Name: | MRS. KRISTINE ELIZABETH MARTIN |
| NPI Number: | 1699049528 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 406-125 |
| Business Practice Address: | 804 W 9th St N Suite B Ladysmith, WI - 548481267 |
| Business Phone Number: | 7155329771 |
| Business Fax Number: | 7155329774 |
| Mailing Address: | 804 W 9th St N, Suite B LADYSMITH |
| State: | WI |
| Postal Code: | 548481267 |
| Phone Number: | 7155329771 |
| Fax Number: | 7155329774 |
| NPI Enumeration Date: | 02/23/2012 |
| NPI Last Update Date: | 02/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 406-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |